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Penatalaksanaan Fisioterapi pada Kasus Frozen Shoulder Et Causa Capsulitis Adhesiva dengan Modalitas MWD, TENS, dan Terapi Latihan di RS PUSDIKKES PUSKESAD Ika Rahman; Yuniat Irawati; Lona Thesalonika
Barongko: Jurnal Ilmu Kesehatan Vol. 5 No. 1 (2026): Barongko : Jurnal Ilmu Kesehatan (November)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/bajik.v5i1.1425

Abstract

Frozen Shoulder caused by Adhesive Capsulitis is a musculoskeletal disorder of the glenohumeral joint characterized by pain, restricted range of motion, and decreased functional ability due to inflammation and fibrosis of the joint capsule. This condition commonly affects individuals aged 40–65 years and significantly interferes with daily activities if left untreated. This case study aimed to evaluate the effectiveness of Microwave Diathermy (MWD), Transcutaneous Electrical Nerve Stimulation (TENS), and Exercise Therapy in reducing pain, improving shoulder range of motion, increasing muscle strength, and restoring functional activities in a patient with Frozen Shoulder. A quantitative descriptive case study was conducted on one patient with left Frozen Shoulder at RS Pusdikkes Puskesad. Clinical outcomes were evaluated over eight treatment sessions using the Visual Analog Scale (VAS), goniometer, Manual Muscle Testing (MMT), and Shoulder Pain and Disability Index (SPADI). The results demonstrated reductions in resting pain from 2 to 0, tenderness from 4 to 0, and movement pain from 6 to 0. Shoulder range of motion improved from flexion 90° to 180°, extension 40° to 60°, abduction 90° to 180°, internal rotation 45° to 90°, and external rotation 30° to 90°. Muscle strength increased from grade 4 to grade 5, while the SPADI score decreased from 37.5 to 1.5, indicating marked functional recovery. It can be concluded that the combination of Microwave Diathermy (MWD), Transcutaneous Electrical Nerve Stimulation (TENS), and Exercise Therapy is effective in reducing pain, improving shoulder mobility, increasing muscle strength, and restoring functional ability in patients with Frozen Shoulder caused by Adhesive Capsulitis.
Penatalaksanaan Fisioterapi pada Kasus De Quervain Syndrome Dextra dengan Modalitas Ultrasound dan Terapi Latihan di RSUD Cililin Kab. Bandung Barat Eli Amelia; Ika Rahman; Abdul Qudus
Barongko: Jurnal Ilmu Kesehatan Vol. 5 No. 1 (2026): Barongko : Jurnal Ilmu Kesehatan (November)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/bajik.v5i1.1426

Abstract

De Quervain Syndrome is a musculoskeletal condition affecting the wrist, characterizted by pain on the radial side caused by inflammation of the abductor pollicis longus and extensor pollicis brevis tendons, which leads to limited range of motion and reduced functional ability. This study aimed to evaluate the effectiveness of combining ultrasound therapy with active exercise in reducing pain, improving range of motion, and enhancing functional ability in a patient with right-sided De Quervain Syndrome. A quantitative descriptive case study design was applied to one patient at RSUD Cililin, West Java Bandung. Outcome measures included the Visual Analog Scale (VAS), goniometer assessment, and Wrist and Hand Disability Index (WHDI), conducted over six treatment sessions. The findings indicated clinical improvement, including reduced resting pain (2 to 0), tenderness (5 to 2), and movement pain (5 to 2). Range of motion also increased in thumb flexion (35°-48°), extension (76°-88°), and abduction (18°-27°). Furthermore, the WHDI score decreased from 58% to 24%, reflecting a shift from severe to moderate disability. These result suggest that the combination of ultrasound and active exercise is effective in improving patient outcomes in De Quervain Syndrome.
Penatalaksanaan Fisioterapi Pada Kasus Carpal Tunnel Syndrome Bilateral Dengan Modalitas Ultrasound Dan Nerve Gliding Exercise Di Rsud Cililin Kabupaten Bandung Barat Ika Rahman; Putri Apriliana Riskianti; Abdul Qudus
Dinasti Health and Pharmacy Science Vol. 4 No. 1 (2026): Dinasti Health and Pharmacy Science (July - September 2026)
Publisher : Dinasti Research & Yayasan Dharma Indonesia Tercinta (DINASTI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38035/dhps.v4i1.3710

Abstract

Bilateral Carpal Tunnel Syndrome is a condition caused by compression of the median nerve within the carpal tunnel, resulting in pain, tingling, muscle weakness, and limitations in hand function that may interfere with daily activities. This study aimed to determine the effectiveness of physiotherapy interventions using ultrasound and nerve gliding exercise in reducing pain, improving range of motion (ROM), and enhancing hand functional ability. This study used a descriptive method with a case study approach involving one patient with bilateral Carpal Tunnel Syndrome at RSUD Cililin. Evaluation was performed using the Visual Analog Scale (VAS), goniometer, and Wrist Hand Disability Index (WHDI). After six therapy sessions, pain decreased in both hands, wrist flexion improved from 45° to 50°, and WHDI scores decreased from 32% to 24% in the right hand and from 32% to 28% in the left hand. These findings indicate that the combination of ultrasound and nerve gliding exercise may help reduce pain, improve ROM, and enhance hand functional ability in bilateral Carpal Tunnel Syndrome cases.